Formal 18Qal advoce and rev- ,s rec:ommendecl pnor to M1ea1011 and use ol provided form RHA dOeS not

ot n,present yo,.s selec!l0'1 or exeaJ11011 ol ttus form as appropriata for yo,.s apeclc c:n,.,mllreel

INVENTORY & INSPECTION CHECKLIST FOR APARTMENTS

1-3 bedroom/1-2 bath

Building Name CJ, /C:, f 7 rlA.ueplease

t).,.,,J
print
Date IJ/1 i,/ /<&
Tenant Name(s) VVl C,L_ rf:h \.d 4' [ yn f7 ~k
Q l· {Ll,H \..

Address _--1,.,_,,,'124-'-J~"---'[-~2.. ;. .h. u.l~A~L(i~~.,µ.

__ /1,.,_, _L,_)_ _ _ _ __
_ _ _ _ _ _ _ _ _ _ _ _ _ ,WA _ _ _ _ _ __
Use back of page or additional sheets as needed for details.
Comment on the condition of the item (please be specific)
K"t
IChen Good Fair Poor Def1cienc1es uoon M ove-ln Good Fair Poor Def1cienc1es uoon Move-0 ut

Floors ✓

I/'
Walls v
Ceiling
/
Cabinets
✓

Stove/Oven/Broiler ✓

Hood, Filter, Fan

Refrigerator
I
Dishwasher
I
Disposal
ivl~
Lights
v
°<f:,O(), \,J / a.. t-€v-:> (\i llz.s,
Sink/Counters ✓ ~ r\ l-tv" <... ~
Windows/Tracks/Screens ✓

Doors
I {l_j'>lc..J 'y..j((>..f t +(0,. f

Other

Page 1 ol 5 Move-In Initials: Owner/Agent: Tenant$

Move-Out Initials: Owner/Agent: _ _ _

Inventory & Inspection Checklist for Apartments

Reviewed 1/2009
Revised 1/2006

C RHA 2009 For use by current RHA members only No representatoon ,s made as to the suffic,ency or tax consequences from use of th,s form
Living room, Dining
area & Hallways Good Fair Poo, Def.
1c1enc1es ucon Move- n Good Fair Poo, Def1ciencies ucon Move-0 ut
Floors/Carpet /
V

Walls ./
Ceiling V
Ughts ✓
cv~ 'av\ ov+, o{~v\-<--
yl)C\t\r- \~ ~ ~
u
Drapes I✓

Windows/Tracks/Screens / f <A.,11v\-~ ~k-+

Fireplace
~fa~
V
Doors ✓

Other

Bathroom (1) Good Fair Poo, Deficiencies upon Move-In Good Fair Poor Deficiencies upon Move-Out
7-,~ ' # r \c..~
Floor
✓
Walls I
Ceiling I
SinkNanity
I
Tub/Shower
v-
Tile/Grout ✓

Vent fan

Lights j
Toilet(s)
✓
Page2ot5
Move-In Initials: Owner/Agent: Tenant: (f..
Move-Out Initials: OWner/Agent: _ _ _
 Good F• Poor Deficiencies uoon Move-In Good F• Poor Deficiencies uoon Move-Out

Towel racks/Accessories /
Cabinets /

Windowl/Tracks/Screens I
Door(s) /
Other

Bathroom (2) ~~ Fair Poor Deficiencies upon Move-In Good Fair Poor Deficiencies uoon Move-Out

Floor

Walls

Ceiling

SinkNanity

Tub/Shower

Tile/Grout

Vent fan

Ughts

Toilet(s)

Bedroom (1) Good Fair Poor Deficiencies uoon Move-In Good Fair Poor Deficiencies upon Move-Out
'f'J¼ ✓ \t.~ (:(I 'OIV'- y(-t.\) ~o-> S
Floor/Carpet
✓ ~ r 1,\0(./Q... I b .\.\, ,of ir--
Walls
I
Ceiling Ii
Move-In Initials: Owner/Agent: Tenant: r7-.
Page Joi 5
Move-Out Initials: Owner/Agent: _ __
 Good Fair Poo, Def.
1c1enc1es upon Move- n Good Fair Poor Deficiencies upon Move-Out
Lights
I
Blinds/Drapes
✓
Windows/Tracks/Screens /

Closets ./

Doors I
Other

Bedroom (2) Good Fair Poor Deficiencies upon Move-In Good Fair Poor Deficiencies upon Move-Out
f'v\i>.l)t) ;l'.o~ "? {-tv ~OU 5
Floor/Carpet
✓ WI v-.ftvl-t...
Walls
v
Ceiling
II
Lights

Blinds/Drapes I
Windows/Tracks/Screens
j

Closets
j

Doors I/
Other

Bedroom (3) Fair Poor Deficiencies upon Move-In Good Fair Poor Deficiencies upon Move-Out

Floor/Carpet

Walls

Page 4 of 5 Move-In Initials: Owner/Agent: Tenant?'...;t.

 Good F.., Poor Deficiencies upon Move- n Good f • Poor Def 1cienc1es uoon Move-Out

Celling

Ughts

Blinds/Drapes

Windows/Tracks/Screens

Closets

Doors

Other

Miscellaneous Good Fair Poor Def1c1enc1es

. upon Move- n Good Fair Poor Def.
1c1enc1es upon Move-0 ut

Lanai/Balcony

Storage Area

Water tank

Smoke detector

TV Cable

Other

IN-le have inspected the above unit prior to occupancy and accept it with the conditions noted. IN-le understand that upon vacating the above
unit, charges will be assessed for cleaning required. Repair and replacement costs resulting from resident negligence will also be added.
Owne</Agen1 and Tenan1are each advised to seek independent legal advice on matters ans,ng from use of this form.

MOVE U . - - - - - -

~ Date

Owner/Agent Date

MOVE-OUT

Owner/Agent Date

This checklist is pursuant to Washington State Landlord/Tenant Law, RCW 59.18.260. Both tenant and owner/agent should retain a signed copy of
the completed inspection report as part of your rental agreement.
Page 5 ol 5